What is Platelet Rich Plasma Therapy?
Platelet Rich Plasma or more commonly known as PRP therapy is a type of Regenerative Injection Therapy that doctors use to treat many injured or degenerative joint and spinal injuries issues.
Much like taking a blood test, PRP preparation begins with a blood draw from a vein in your arm. Once the tube is filled with the blood, it is placed in a centrifuge to spin out and separate the blood platelets from the rest of the blood cells and components.
A solution of platelet rich plasma is then prepared to inject into the areas that are causing you pain and loss of function.The goal is to jump start the body to start healing damaged tissue.
We have published research on the possible effectiveness of this treatment in peer review journals. We invite you to review this research at these links.
What is Bone Marrow Aspirate or Bone Marrow Aspirate Concentrate?
In our practice, Bone Marrow Concentrate is used as a treatment for musculoskeletal disorders. We treat degenerative joint disease, degenerative disc disease of the spine, and tendon and ligament injury. The bone marrow concentrate, also known as “Autologous stem cells” which means they come from you, are taken in a simple extraction procedure from the iliac crest of the pelvic bone.
The bone marrow derived stem cells are “de-differentiated pluripotent” cells, which means that they continue to divide to create more stem cells; these eventually “morph” into the tissue needing repair — for our purposes, collagen, bone, and cartilage.
We have published research on the possible effectiveness of this treatment in peer review journals. We invite you to review this research at these links.
The use of bone marrow-derived stem cells was first tested in the 1960s. Even then, doctors knew that stem cells had unique regenerative powers due to their ability to morph into bone and cartilage and migrate to the site of damage once introduced into the body. Using stem cells from a patient’s own bone marrow was particularly interesting, because these types of autologous stem cells are readily available without ethical (embryonic) problems in their use. In musculoskeletal medicine, stem cells provide an answer to the conundrum of cartilage and other soft tissue rejuvenation.
Some research suggests that the introduction of stem cells into the joint also reawakens and revitalizes the stem cells already present in the synovial fluid of the knee, as well as in the cartilage and bone.
This “supercharges” the healing process of all structures in and around the joint (cartilage, menisci, ligaments, and tendons). Stem Cell Therapy is considered a solution with limited side effects.
Where Do We Get the Stem Cells for Therapy?
How is the procedure performed
The bone marrow aspirate or stem cell therapy injection procedure is a very simple, in-office procedure with no general anesthesia, as it involves very little to almost no pain. Moreover, it takes only about 30 minutes from start to finish. During bone marrow Stem Cell Therapy, a practitioner will inject lidocaine at the top of the buttocks, at or near the posterior superior iliac spine, to numb the area. A tiny incision (which heals quickly after the procedure) is made to allow insertion of a needle to aspirate bone marrow.
No stitches are necessary. The solution obtained is spun in a centrifuge. The stem cells are then harvested and injected into the target area or joint under ultrasound guidance when required.
Although bone marrow aspiration is typically painful during other procedures such as bone marrow transplantation, it is nearly pain free in this case. A relatively small amount is collected.
What are the Conditions we See?
Ankle / Achilles pain
ANKLE INSTABILITY AND CHRONIC SPRAIN
ANKLE OSTEOARTHRITIS
AVASCULAR NECROSIS IN THE ANKLE
ACHILLES TENDON TEARS AND TENDINOPATHY
PERONEAL TENDONITIS
Back Pain
DEGENERATIVE DISC DISEASE
LUMBAR SPINAL STENOSIS
LUMBAR SPONDYLOLYSIS AND SPONDYLOLISTHESIS
LUMBAR RADICULOPATHY
LUMBAR ADJACENT SEGMENT DISEASE
FAILED BACK SURGERY SYNDROME
POST-LAMINECTOMY SYNDROME
POST-SURGICAL MUSCLE AND SOFT TISSUE DAMAGE
SACROILIAC JOINT DYSFUNCTION
LOW BACK PAIN
SCIATICA
Elbow Pain
ELBOW OSTEOARTHRITIS
TENNIS AND GOLFER’S ELBOW
Foot Pain
PLANTAR FASCIITIS
BUNIONS AND TOE PAIN
HALLUX VALGUS
FLAT FOOT DEFORMITIES
Groin Pain
Hand pain
Hip pain
HIP LABRUM TEARS
HIP OSTEOARTHRITIS
HIP TENDONITIS
GREATER TROCHANTERIC PAIN SYNDROME
FEMOROACETABULAR IMPINGEMENT SYNDROME
Pain related hormonal issues
PAINKILLER USE AND LOW TESTOSTERONE
CHRONIC PAIN AND ESTROGEN LEVELS
Knee pain
KNEE OSTEOARTHRITIS
FAILED ACL SURGERY
LOOSE ACL GRAFT
KNEE INSTABILITY AFTER KNEE REPLACEMENT
BAKER’S CYSTS
MENISCUS TEARS
KNEE PAIN AFTER MENISCUS SURGERY
PATELLOFEMORAL PAIN SYNDROME
PATELLAR INSTABILITY AND DISLOCATION
ILIOTIBIAL BAND SYNDROME
KNEE SOFT TISSUE DAMAGE FROM FREQUENT CORTISONE INJECTIONS.
Neck pain
CERVICAL RADICULOPATHY
CERVICAL SPINE DISORDERS
CERVICAL DEGENERATIVE DISC DISEASE
BARRE-LIEOU SYNDROME
WHIPLASH INJURY
Shoulder Pain
GLENOHUMERAL OSTEOARTHRITIS
ROTATOR CUFF TEAR
SHOULDER LABRAL TEAR
SUBACROMIAL IMPINGEMENT AND TENDINOPATHY
SHOULDER INSTABILITY AND CHRONIC DISLOCATION
ACROMIOCLAVICULAR JOINT
FROZEN SHOULDER
TMJ Pain
Wrist Pain
CHRONIC WRIST PAIN
ULNAR NERVE INJURY
CARPAL TUNNEL SYNDROME TREATMENTS
Hair and Cosmetic
Other conditions
HYPERMOBILE EHLERS-DANLOS SYNDROME
ACUTE AND CHRONIC HAMSTRING INJURY
HEADACHES AND MIGRAINE
Am I a candidate for these treatments for my condition?
How many treatments will I need?

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